A 45-year-old man underwent FDG PET/CT for initial imaging evaluation of recurrent Escherichia coli urinary tract infections, which demonstrated no significant FDG uptake in either kidney and subtle FDG uptake in the right prostate lobe. Subsequent Ga SPECT/CT demonstrated abnormal intense gallium uptake throughout the right kidney and entire prostate gland, clearly discordant with PET/CT findings and consistent with unexpected concurrent pyelonephritis and prostatitis. Although FDG has effectively replaced Ga in everyday clinical practice, the current case serves as a reminder that there is still a role for Ga in the evaluation of genitourinary infections.
Clinical nuclear medicine. 2016 Jan 12 [Epub ahead of print]
Robert Lucaj, Dwight M Achong
From the Nuclear Medicine Service, James A. Haley Veterans' Hospital and Clinics, and University of South Florida Morsani College of Medicine, Tampa, FL.